FORM NO.

16

[See rule 31(1)(a)]

Certificate under section 203 of the Income tax Act,1961 for tax
deducted at source on salary paid to an employee under section 192
or pension/interest income of specified senior citizen under
section 194P
Name and address of the Employer Name, EmpNo, Bill Unit and designation of the Employee
Ministry of Railways, Govt. of India, SHAILENDRA SAXENA, 33204617654, 3202520, SS
Rail Bhawan
PAN of the TAN of the PAN of the Employee.
Deductor. Deductor.
ALDS00909G BZCPS5818Q
CIT(TDS) Period
Assessment Year
Address: From To
City: Pin Code: 2024-2025 01/APR/2023 31/MAR/2024

PART B( Refer Note 1 )

Details of Salary paid and any other income and tax deducted.
A. Whether opting for taxation u/s NO
115BAC?

1. Gross salary
(a) Salary as per provisions contained 1435979
in sec. 17(1)
(b) Value of perquisites u/s 17(2) (as 0
per Form No.12BA, wherever applicable)
(c) Profits in lieu of salary u/s
17(3) (as per Form No.12BA,wherever 0
applicable)
(d) Total 1435979
2. Less Allowances to the extent
exempt under section 10
(a)Travel concession or assistance 0
under section 10(5)
(b)Death-cum-retirement gratuity under 0
section 10(10)
(c)Commuted value of pension under 0
section 10(10A)
(d)Cash equivalent of leave salary 0
encashment under section 10(10AA)
(e)House rent allowance under section 0
10(13A)
(f)Amount of any other exemption under
section 10
(1)Children Education & Hostel 0
Expenditure Allowances
(2)Travelling Allowance 0
(3)Conveyance Allowance 0
(4)Research Allowance 0
(5)Uniform Allowance 10000
(6)Any other cash allowance under 0
section 10(14)
(g)Total amount of any other 10000
exemption under section 10
(h)Total amount of exemption claimed 10000
under section 10{2a+2b+2c+2d+2e+2g]
3. Balance (1-2) 1425979
4.Less: Deductions under section 16 :
(a) Standard deduction under section 50000
16(ia)
(b) Entertainment allowance under 0
section 16(ii)
(c) Tax on Employment under section 0
16(iii)
5. Total amount of deductions under 50000
section 16[4a+4b+4c]
6. Income chargeable under the head. 1375979
Salaries (3 - 5)
7. Add : Any other income reported by
the employee
Total 0
8. Gross total income (6 + 7) 1375979

9. Deductions under Chapter VIA

(A) sections 80C, 80CCC and 80CCD Gross Amount Deductible Amount
(a) section 80C
(1) PF+VPF 215396
(2) GIS 360
Total 215756 150000
(b) section 80CCC 0 0
(c) section 80CCD(2)(GOVT CONTRIBUTION 0 0
REBATE)
Note : 1. aggregate amount deductible under section 80C shall not exceed one lakh fifty
thousand rupees
2. aggregate amount deductible under three sections, i.e., 80C, 80CCC and 80CCD,shall not
exceed one lakh fifty thousand rupees
(B) other sections (for e.g., 80E, 80G Gross Amount Qualifying Amount Deductible Amount
etc.) under Chapter VIA
Total 0 0 0
10. Aggregate of deductible amounts 150000
under Chapter VI-A

11. Total income (8-10) 1225980

12. Tax on total income 180294

13. Education Cess @ 4%(on tax 7212

computed at S. No. 12 )

14. Tax payable (12+13) 187506

15. Less: Relief under section 89 0

(attach details)

16. Tax payable (14-15) 187506

17. Total Tax Paid 187506

18. Tax payable/Refundable (16-17) 0

I, .............................. son/daughter of .............................. working in
the capacity of ....................... do hereby certify that a sum of Rs. 187506 [Rs. Rs.
One Lakhs Eighty Seven Thousand Five Hundred Six Only Only (in words)] has been deducted at
source and paid to the credit of the Central Government. I further certify that the information
given above is true and correct based on the books of account, documents and other available
records.
Place: .............
Date: 01/04/2023 Signature of the person responsible for deduction of tax
Full Name: ..............................
Designation: .......................